Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,513.56 / $5,495.41	Facility		$660.69	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,348.96	Professional		$645.65	$776.25	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $933.25	Professional		$512.86	$616.60	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,230.27	Facility		$691.83	$954.99	$1,230.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,174.90	Professional		$776.25	$954.99	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,659.59	Facility		$1,288.25	$1,288.25	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $3,630.78	Professional		$676.08	$1,174.90	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,479.11	Professional		$602.56	$812.83	$1,479.11